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<title>Reclamo</title>

<link href="css/reset.css" rel="stylesheet" type="text/css" />
<link href="css/main.css" rel="stylesheet" type="text/css" />
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</head>

<body>

<div id="wrapper" class="bg_main">
  
	  <div id="header" class="fx_child">
    
         <div id="logo" class="float-left"></div>
         <div class="float-left">
             <h1 class="title">Call center<br/><span>Konecta</span></h1>
         </div>
         <div  class="float-right">
          <a href="#" id="settings" class="float-left">SETTINGS</a>
          <a href="logout.jsp" id="logout">LOGOUT</a>
         </div>
    
      </div> <!-- finish header --> 
    
      <div id="nav">
            <ul>
               <li class="normal"><a href="facturacion.jsp">facturacion</a></li>
               <li class="active">
               
                 <div class="nav-border-left"></div>
                 <div class="nav-link-content"><a href="#">reclamo</a></div>
                 <div class="nav-border-right"></div>    
                 
               </li>
               <li class="normal"><a href="#" class="construccion">Pedidos</a></li>
               <li class="normal"><a href="#" class="construccion">Soporte</a></li>
               <li class="normal"><a href="#" class="construccion">Internet</a></li>
               <li class="normal"><a href="#" class="construccion">Sigas</a></li>
               <li class="normal"><a href="#" class="construccion">Account</a></li> 
    	    </ul>
      </div><!-- finish nav -->
    
      <div id="main">
          <div class="fx_margin_div"></div>
    	  <div id="box" class="center margin-top-xlarge">
         
        	 <div id="box-top"><h2 class="subtitle">Reclamo</h2></div>
             <div id="box-body" class="fx_child">
              
                <div class="form" id="reclamo">
				  <form  id="frmFacturacion" method="post" action="">
				     <label><span>Numero Telefonico:</span></label>
				     <input value="" maxlength="7" name="txtTelefono" class="inputxt margin-bottom-light" />
				     <label><span>Reclamo hecho por:</span></label>
				     <input value="" maxlength="7" name="txtTelefono" class="inputxt margin-bottom-light" />
				     <label><span>Dni:</span></label>
				     <input value="" maxlength="7" name="txtTelefono" class="inputxt margin-bottom-light" />
				     <label><span>Numero Celular:</span></label>
				     <input value="" maxlength="7" name="txtTelefono" class="inputxt margin-bottom-light" />
				     <label><span>Parentesco:</span></label>
				     <select  class="inputxt margin-bottom-light" >
				      <option value=""></option>
				      <option value="Conyuge">Conyuge</option>
				      <option value="Titular">Titular</option>
				      <option value="Hijo">Hijo</option>
				      <option value="Hermanos">Hermanos</option>
				      <option value="Primos">Primos</option>
				      <option value="Padres">Padres</option>
				      <option value="Tios">Tios</option>
				     </select>
				     <label><span>Email:</span></label>
				     <input value="" maxlength="7" name="txtTelefono" class="inputxt margin-bottom-light" />
				     <label><span>Tipo:</span></label>
				     <select  class="inputxt margin-bottom-light" >
				      <option value="">Seleccionar</option>
				      <option value="Internet">Internet</option>
				      <option value="Facturacion">Facturacion</option>
				      <option value="Telefono">Telefono</option>
				     </select>
				      <label><span>Motivo:</span></label>
				     <select  class="inputxt margin-bottom-light" >
				      <option value="">Seleccionar</option>
				     </select>
				      <label><span>Descripcion:</span></label>
				     <textarea  class="inputxt margin-bottom-light" style = "height:150px" ></textarea>
				     <label><span>&nbsp;</span></label>
				     <input type="submit" value="save" class="btn_form" />
				     <input type="reset" value="Reset" class="btn_form" />
				  </form>  
				</div>
               
              
            </div><!-- finish box-body -->
            <div id="box-bottom"></div> 
            
        </div><!-- finish box -->
          
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      <div id="footer">
          <h3>Konecta. INC</h3>
      </div><!-- finish footer -->
  
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</body>
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